Bizjam
Yec_initiative

Poster_small1

  CLOSING DATE 30 SEPTEMBER 2008.
Nomination:
(Click here to download form for printing)
NOMINATION FORM

Please tick one:

I am nominating someone else as a future 100 entrepreneur

About the nominator (the person nominating the entrepreneur)

Name:
Tel:
Cell:
Fax:
Occupation:

Relationship to nominee:
family
friend
employee
business associate
other

Please explain in your own words, why you believe your nominee is an entrepreneur who will inspire other young South Africans:

About the nominee (the entrepreneur who is being nominated)

Name:
Age:
SA ID Number:
Tel:
Cell:
Fax:
Name is Business
Address of Business:
Description of Business:

How long has the business been in operation: years, months

Brief summary of personal circumstances, business achievements and personal goals:

I confirm that i have read and do accept and agree to the terms & conditions of the Future 100 published here.

 

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